Individual provider Active NPI

Zachary Haas Reidinger, DC

  • Chiropractor
  • Nampa, ID
National Provider Identifier
1093379612
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1927 Issued in ID
Practice address
1221 N Jacob Alcott Way
Nampa, ID 83687-5198
Phone
(949) 683-0588
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1927 ID Primary

Addresses

Primary practice location

1221 N Jacob Alcott Way
Nampa, ID 83687-5198

Mailing address

1221 N Jacob Alcott Way
Nampa, ID 83687-5198
Phone (949) 683-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001869 ID Practitioner - Chiropractic 4587999560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 N Jacob Alcott Way
Nampa, ID 83687-5198
Phone (208) 900-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1927IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reidinger Chiropractic Chiropractor CurrentSince May 31, 2024 Accepting new patients
Pickman Chiropractic Chiropractor PastSince May 23, 2019 Accepting new patients

Locations

1221 N Jacob Alcott Way
Nampa, ID 83687
Phone (208) 900-9449

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1093379612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N JACOB ALCOTT WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875198",
            "telephone_number": "949-683-0588",
            "fax_number": "888-447-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N JACOB ALCOTT WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875198",
            "telephone_number": "949-683-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDINGER",
        "first_name": "ZACHARY",
        "middle_name": "HAAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.